Role & responsibilities
Key Activities performed by Concurrent Auditor :
- Focus on Revenue Assurance, Billing Accuracy and Consumption.
- Co-ordination with Central Pricing Team for IT developments & Tariff changes etc in order to eliminate chances of wrong / Misc billing.
- Review of Exception Reports generated through BI / ERP on daily basis.
- Reconciliation of high value investigation and Diagnostics.
- Focuses on identifying Process gaps related with non-charging of services.
Other Focus Areas :
Control over Manual billing descriptions by Physical Verification and Reconciliation of Manual bill books.Control over discount and refunds.Keep a track over all the service to be charged as per the consumable usage like Ventilator Initiation, Endotracheal Intubation, Catheterization, Nebulisation, Sugar Strip, ABG and Equipment etc.Constant close interaction with IP Billing Team for non-billing services,Responsible for resolving quires & prepare replies to external / internal Auditors.Process Orientation / Documentation
To be responsible for accurate billing to avoid any complaint of wrongexcess billing.To keep a tab on all Billing related policies and procedures and amendment thereof.Cost & Revenue : To ensure the billing is done as per Billing Policies and highlights any revenue leakages.
Measurable Deliverables
Ensure efficient IPD Billing flow processes & TAT compliance.Drive new initiatives for betterment of flow processes.Minimum errors in billing.Control on Revenue Leakage.Skills Required
Financial Analysis, Risk Assessment, Regulatory Compliance, Internal Controls